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TY  - THES
AU  - Hüwe, Birgit
TI  - Veränderung der Lebensqualität nach koxaler Femurfraktur und die Auswirkungen auf die hausärztliche Tätigkeit
PB  - Rheinisch-Westfälische Technische Hochschule Aachen
VL  - Dissertation
CY  - Aachen
M1  - RWTH-2019-02132
SP  - 1 Online-Ressource (86 Seiten) : Illustrationen, Diagramme
PY  - 2019
N1  - Veröffentlicht auf dem Publikationsserver der RWTH Aachen University
N1  - Dissertation, Rheinisch-Westfälische Technische Hochschule Aachen, 2019
AB  - Due to expected increasing numbers of elderly patients with proximal femoral fractures, which have potential consequences for their quality of life, involvement of general practitioners (GPs) in the long-term medical aftertreatment of such fractures is becoming increasingly important. Accordingly there were two main goals for the present thesis: The first was to establish the impact of these fractures on quality of life in th elderly and compare this with existing medical studies. The second aim was to examine for the first time the consequences of long-term management of proximal femoral fractures for the GPs' workload and identify the impact of such management. Questionaries were submitted to patients and doctors at several training practices for GPs and three departments of Trauma Surgery in the area of Aachen. The results were analyzed using the statistical programme Medcale. With regard to the patients' quality of life the findings supported those of existing studies and showed a deterioration for 39 of the 40 probands - for more than half of them their quality of life was affected clearly or even severely. With regard to the workload impact of patients' GP care the consequences were less than expected. Patients consulted their GPs as often and as long as they had used to before their fractures. Nevertheless more home visits were necessary. It must be acknowledged that for the GPs more home visits mean an additional effort as far as time and organisation are concerned. Nevertheless it became obvious that this effort was worthwhile. Patients who were visited at home received better analgesic treatment those who were not. Generally speaking analgesic treatment appeared to be in need of improvement. The prescription of pain medication and physiotherapy played an increasingly important role. Another striking result was the fact that the GPs were often poorly informed about the patients' progress of disease and therapy. Therefore it seems desirable to establish closer communication and informaiton exchange between the treating hospitals and GPs in order to enhamce follow-up treatment.
LB  - PUB:(DE-HGF)11
DO  - DOI:10.18154/RWTH-2019-02132
UR  - https://publications.rwth-aachen.de/record/755985
ER  -